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EDWARD RE III MD
NPI 1144675828
Pediatrics - Sports Medicine in Philadelphia, PA

Active since April 29, 2016PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF SPORTS MEDICINE, PHILADELPHIA, PA 19104(718) 598-0278 Get Directions Write a Review

NPPES record last updated: June 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 29, 2021, May 12, 2021, Jun 26, 2020 and 1 more (4 updates tracked since 2017).

About Edward Re Iii Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD RE III MD (NPI 1144675828) is an individual sports medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD468533) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144675828
Entity TypeIndividualMale
Primary Taxonomy2080S0010X
Provider Legal NameEDWARD RE IIICredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF SPORTS MEDICINEPhiladelphia, PA 19104-4319
Mailing Address2020 Walnut St, Apt 11jPhiladelphia, PA 19103-5635
Phone(718) 598-0278
Sole ProprietorNo
Enumeration DateApril 29, 2016
Last NPPES UpdateJune 29, 20214 updates tracked since enumeration
NPPES CertifiedJune 29, 2021
✔ NPI 1144675828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080S0010X
Licenses✔ Licensed in PA · MD468533✔ Licensed in PA · MT210381
Definition
A pediatrician who is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedPediatricsTaxonomy 208000000X · License MT210381 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Other Names 1

Other Name (5)Edward D Re Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edward Re Iii Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Edward Re reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Children's Surgical Associates Ltd
Same address
Urology
3401 CIVIC CENTER BLVD
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 178 clinicians in this Medicare group
NPI 1003985854 (215) 590-2754

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Re's NPI number?

The NPI number for Edward Re is 1144675828. It was assigned to this individual provider in the NPPES registry on April 29, 2016. The provider is also known as Edward D Re MD.

Where is Edward Re located?

Edward Re practices at 3401 Civic Center Blvd Division Of Sports Medicine, Philadelphia, PA 19104. The listed phone number is (718) 598-0278.

What is Edward Re's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Sports Medicine, with taxonomy code 2080S0010X.

Is Edward Re enrolled in Medicare?

Yes. Edward Re is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Edward Re's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Re reassigns Medicare benefits to Children's Surgical Associates Ltd (Philadelphia, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Re's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Re was last updated on June 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.